Individual
JACKIE A. CAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
4100 HIGHWAY 59, MANDEVILLE, LA 70471-1961
(985) 893-0187
(985) 893-3735
Mailing address
1200 LAFITTE ST, # 16, HAMMOND, LA 70401-1654
(985) 542-4354
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11670
LA
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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